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Sciatica Relief with Spinal Decompression

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Lumbar decompression with the DRX9000

We have been treating Sciatica in the San Francisco Financial District for over 20 years now. Most of the time, chiropractic adjustments and physical therapy will bring low back pain and sciatica under control. However, about 10-15% of the time it wont.

Sciatica is mostly caused by pinched nerves in the lumbar spine due to herniated and bulging discs. But sometimes the discs are trapped, injured, and lodged into place and it is beyond the scope of chiropractic or physical therapy…what now?

Well…up until about 10 years ago we would need to refer out for surgical consultation and possibly back surgery. That is when we decided to purchase our first DRX9000 lumbar spinal decompression system.  We did extensive research on decompression machines and chose the DRX9000 because it was the best. The DRX9000 is designed and built for maximum results and patient comfort. Sure, it was the most expensive machine on the market, but you get what you pay for.

Anyway, we now have a “next step” for low back pain and sciatica patients that do not respond to conventional therapies. The DRX9000 actually targets the specific spinal level where the disc bulge or herniation is and over the course of about 20-24 visits rehabilitates and restores the injured disc to the extent healing is possible. That’s right…this is NOT magic and there are limitations to matter. But still…in the overwhelming majority of all cases the patients are satisfied with the outcomes and many choose ongoing maintenance care (optional).

So, if you are looking for sciatica relief in San Francisco please call 415-392-2225. Ask for a complimentary consultation with one of our spinal decompression doctors.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Low Back Pain Travel Tips: Part 3

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Low Back Pain

Low back pain (LBP) and the discussion of traveling tips will be concluded this month. Please refer to the last 2 months for other great traveling tips. Keep a copy of these in your travel bag!

BE PROACTIVE WITH THE AIRLINES: 1. Get an aisle seat. Request an aisle seat out of “medical necessity.” By stating it this way, the airlines will go out of their way to find you an aisle seat. It is easier to exit the seat in case you have to use the restroom or an emergency occurs. It also allows you to get up and walk around for exercise, which can reduce the irritation of LBP and reduce the chances of blood clots. We can provide a letter to travel with stating that you have LBP, which can help you get special considerations. 2. Request a wheelchair. Make sure the airline knows you would like a wheelchair. They will handle your carry-on, get you through security quicker, and get you to and from the gate in a safe, timely manner. Typically this request is done at the time you make your reservation, but you can also tell a flight attendant prior to landing and they will have it arranged by the time you de-plane at your arrival site. Since there is no way to know how long the security line will be or how long the distance will be between gates or to baggage claim, having a wheel chair pre-arranged is wise. 3. Request a row of seats. Typically, if the plane isn’t full, you can ask for a row of seats that are empty so you can put the arm rests up and spread out, lay down and be much more comfortable. 4. Recline your seat. Depending on your type of low back condition, you may feel most comfortable either in a vertical upright position or reclined position. Some seats, such as in the exit row or last row, do not recline so ask when booking your flight or when you check-in to make sure your seat is adjustable. 5. Stay stretched. Prolonged sitting has many negative effects on muscles, joints, and circulation. Performing stretches from sitting or standing can help a lot, especially on long flights. Ask us to show you some easy-to-perform exercises that can be done in confined spaces! 6. Pre-board. This option allows you to board the plane first and gives you extra time. 7. Handicapped parking sticker. Consider this if walking is challenging for you. We can assist you in this effort and it will allow you to park close to the entrance at the airport. 8. Get a seat assignment. Getting “bumped” is common practice these days due to airlines purposely over-booking. If you do not initially obtain a seat assignment, call the airlines immediately to obtain a seat. Getting bumped can mean a delay for a couple hours up to a couple days!

SIT WITH SUPPORT: 1. Back Support. Using a special back support (if possible) or even a rolled up towel, pillow, or airline blanket between your back and seat can really help decrease low back pain. A small water bottle (tighten the cap!) is also a good option. The “bottom line” is comfort. If it feels good and relieving, it will be of benefit and help you. 2. Sit “supported.” Sitting with your knees bent at a right angle (90°) pushing your feet into the floor can be relieving and offer good support, especially during take-offs and landings. Also, stretch your legs out straight periodically under the seat ahead of you. You may have to place your briefcase or carry-on behind your legs, in front of your seat to open up the space so you can stretch out. Lastly, drink plenty of water, slip your shoes off at times, get up and walk periodically, carry a note from us for special needs, and most importantly, ENJOY YOUR FLIGHT!!!

            We realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule an appointment for back pain treatment in San Francisco Call 415-392-2225

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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How do you know if your spinal decompression is working?

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DRX9000 Lumbar Decompression

We have been providing spinal decompression therapy in San Francisco for 8 years now. During this time we have performed over 20,000 decompression treatments to thousands of patients. We were the first to offer the DRX9000 in San Francisco.

The protocol for the DRX9000 is 20 sessions. The recommended treatment is 5x for 2 weeks, 3x for 2 weeks, and 2x for 2 weeks. When they conduct research this is what they do.

In reality, not all herniated or bulging disc patients can adhere to this treatment protocol due to family, work or school schedules. And honestly, sometimes we think the treatment might be too much for someone to handle. So…we treat each patient on an individual basis, sometime starting at only 2-3 times per week.

How do we know the 20 spinal decompression sessions will be enough?

We don’t…sometimes it takes more…but it rarely takes less. Sure, if you are a young adult (under 25 years old) and have a single level disc herniation, say at L5-S1, and an otherwise healthy spine, we may recommend 15 sessions.  Other than this scenario, we usually do 20-26 sessions.

In our experience it’s best to complete the program…even if you are feeling better after say 10 sessions. It’s kind of like when you take antibiotics…you feel better before the problem is fixed.

We often have patients that want to only do 10 sessions to see how they feel…but honestly…even if you are not feeling results, it does not mean the decompression therapy is not working. Some of our most dramatic results have happened at the end of treatment…in the last 5 sessions…and the results have lasted years.

And you should never stop after 10 sessions if you are feeling better…because you may risk a relapse.

What we recommend is deciding before you start that you are going to complete the program. Sure, we can split your payments up to make them more affordable…but don’t jeopardize your potential outcome by doing too little…that just does not make sense.

We will do it if you want…but we recommend you “stay the course”.  Because if you do the results will be more permanent. And we have the experience to know. We have seen patients that have done partial treatment get partial results. We we want this to be life changing and long lasting…and so should you!

To schedule an appointment with a spinal decompression doctor in San Francisco call 415-392-2225. Mention this blog post for a complimentary consultation.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Low Back Pain and The Way You Sleep

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Low Back Pain

We have been providing low back pain and sciatica relief in San Francisco for over 20 years now in the Financial District.

Low back pain (LBP) and sciatica can arise from a lot of causes, most commonly from bending, lifting, pulling, pushing, and twisting. However, there are other possible causes, including sleep. This not only includes sleeping in a crooked or faulty position, such as falling asleep on a couch, in a chair or while riding in a car, but also from the lack of sleep. So the question is, how much sleep is needed to feel restored and how much sleep is needed to avoid low back pain?

            It’s been shown that the lack of sleep, or chronic sleep loss, can lead to serious diseases including (but not limited to): heart disease, heart attack, heart failure, irregular heartbeat, high blood pressure, stroke and diabetes. Sleepiness can also result in a disaster; as was the case in the 1979 nuclear accident at Three Mile Island, the oil spill from the Exxon Valdez, as well as the 1986 nuclear disaster at Chernobyl. With sleep deprivation, our reaction time is slowed down, and hence, driving safety is a major issue. The National Highway Traffic Safety Administration estimates that fatigue causes more than 100,000 crashes per year with 1500 annual crash-related deaths in the US alone. This problem is greatest in people under 25 years old. Job related injuries are also reportedly more frequently, especially repeat injuries in workers complaining of daytime sleepiness which resulted in more sick days. It’s also well published that sleep plays a crucial role in thinking and learning. Lack of sleep impairs concentration, attention, alertness, reasoning, and general cognitive function. In essence, it makes it more difficult to learn efficiently. Also, getting into a deep sleep cycle plays a critical role in “consolidating memories” in the brain, so if you don’t get to a deep sleep stage (about 4 hours of uninterrupted sleep), it’s more difficult to remember what you’ve learned. An interesting study (U. of Pennsylvania) reported that people who slept less than 5 hours/night for 7 nights felt stressed, angry, sad, and mentally exhausted. As shown in another study of 10,000 people, over time, insomnia (the lack of sleep) increases the chances by 5-fold for developing clinical depression. Other clinical studies have published many other negative effects of sleep deprivation, of which some include aging of the skin, forgetfulness, weight gain, and more.

            Regarding low back pain, what comes first? Does LBP cause sleep interference or does sleep deprivation cause the LBP (or both)? It’s been shown that sleep loss can lower your pain threshold and pain tolerance, making any existing pain feel worse, so it works both ways. Specific to LBP, in a 28-year, 902 metal industry worker study, sleep disturbances (insomnia and/or nightmares) predicted a 2.1-fold increase in back pain hospitalizations with one and a 2.4-fold increase with both sleep disturbance causes (insomnia and nightmares). Other studies have shown patients with chronic LBP had less restful sleep and more “alpha EEG” sleep compared to controls. Similar sleep pattern differences using EEG (electroencephalogram – measures brain waves) have been shown when comparing chronic LBP patients with vs. without depression compared to controls (non-LBP, non-depressed subjects).

            So the BOTTOM LINE, talk to us about how chiropractic helps reduce LBP, stress and facilitates sleep. There are also nutritional benefits from Melatonin, valarian root, and others that we can discuss. Now, go to bed and get a good night’s sleep!

It IS possible to break this low back pain, sleep deprivation cycle with chiropractic adjustments and/or nonsurgical spinal decompression with the DRX9000.

            We realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule an appointment for low back pain relief in San Francisco call 415-392-2225. Mention this article for a complimentary consultation.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Considering Spinal Decompression?

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Spinal Decompression Therapy with DRX9000

We have been providing treatment for herniated discs in San Francisco for over 20 years now. For the past 8 years we have included nonsurgical spinal decompression with the DRX9000 into the mix.

Prior to spinal decompression therapy we would be unable to help certain herniated disc patients. After-all…chiropractic, which is a wonderful form of treatment for most cases, just can’t help certain disc patients. My guess is that up to 20% of the patients that suffer with a herniated or bulging cervical or lumbar disc, simply will not respond to chiropractic care, physical therapy, medications, acupuncture, or exercise. They need something more.

Before spinal decompression we would refer most of these patients for back or neck surgery consultations. Some would have surgery, but most would just live with the pain. These are the first patients we treated when we purchased our first DRX9000 8 years ago.

Now things are different. The DRX9000 becomes our “next step” if chiropractic fails to deliver results with herniated and bulging disc patients. We also have a DRX9000c to treat cervical disc herniations.

Sometimes the DRX9000 or DRX9000c can actually help make chiropractic adjustments work. The spinal decompression process is able to reduce inflammation, pain, and muscle spasms , which allow a patient to tolerate chiropractic. And the combination of chiropractic adjustments and spinal decompression can be much more powerful than either one alone.

Don’t get me wrong…spinal decompression IS NOT a magic wand. What it is is the most advanced form of nonsurgical treatment in the marketplace today for neurovascular compression syndromes such as herniated discs, bulging discs, facet syndrome, spinal stenosis, and degenerative disc disease.

Does spinal decompression therapy with the DRX9000 work every time?

NO…nothing does.  Just most of the time.

But here’s the deal. Spinal decompression is very safe. If it does not help you are still whole and can explore other treatment options. If you have fusion surgery you cannot UN-do it. You will be forever disqualified from ever trying spinal decompression.

TIP: Try spinal decompression first…you can always have surgery!

To schedule a complimentary consultation with a spinal decompression doctor in San Francisco, call 415-392-2225 and mention this blog post.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Neck Pain: Manipulation vs. Mobilization – What’s Better?

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Neck and Upper Back Manipulation

Does mobilization (MOB) get less, the same, or better results when compared to spinal manipulative therapy (SMT)? To answer this question, let’s first discuss the difference between the two treatment approaches.

             Mobilization (MOB) of the spine can be “technically” defined as a “low velocity, low amplitude” force applied to the tissues of the cervical spine (or any joint of the body, but we’ll focus on the cervical region). This means a slow, rhythmic movement is applied to a joint using various methods such as figure 8, side to side, front to back and /or combinations of any of these movements. In the neck, gentle to firm manual traction or pulling, when applied to the cervical spine, stretches the joint and disk spaces and can be included during MOB. Some consider nonsurgical spinal decompression to be a form of Mobilization. In my opinion decompression therapy is it’s own category.

             Spinal Manipulative Therapy (SMT) can be defined as a “high velocity, low amplitude” type of force applied to joint which is often accompanied by a audible release or “crack,” which is the release of gas (nitrogen, oxygen, and carbon dioxide). Some joints “cavitate” or “crack” while others are less likely to release the gas. This is what a chiropractic adjustment does and is what we do at our San Francisco Chiropractic Clinic.

Studies that date back to the 1940s report an immediate improvement in a joint’s range of motion occurs when the joint cavitates. Many people instinctively stretch their own neck to the point of gas release, which typically, “…feels good.” This can become a habit and usually is not a big problem. However, in some cases, it can lead to joint hypermobility and ligament laxity.  As a rule, if only a gentle stretch is required to produce the cavitation/crack, it’s typically “safe” verses the person who uses higher levels of force by grabbing their own head and twisting it beyond the normal tissue stretch boundaries. The later is more likely to result in damage to the ligaments (tissue that strongly holds bone to bone) and therefore, should be avoided.  Since SMT is usually applied in a very specific location (where the joint is fixated or “stuck”, or, partially displaced), it’s obviously BEST to utilize chiropractic,  as we chiropractors do this many times a day (for years or even decades) and we know where to apply it and can judge the amount of force to utilize, especially the neck where there are many delicate structures.

            Back to the question: Which is better, MOB or SMT? Or, are they equals in the quest of rid of neck pain? A recent study of over 100 patients with “mechanical neck pain” (strain/sprain)  showed that those who received SMT had a significantly better response than the MOB group as measured by a pain scale, a disability scale and 2 tests that measure function! So, the next time you ask the question, “….do you have to crack my neck?,” the answer should be “yes, if you want to achieve the quickest response.” However, if there is sharp pain during the “set-up” of the manipulation or adjustment, modifications in the technique are appropriate or, a different method should be considered.

            We realize that you have a choice in where you choose your health-care services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Special Note: When SMT fails to deliver results, spinal decompression therapy should be considered as a treatment option for back and neck pain secondary to herniated and bulging discs.

To schedule an appointment with one of our Back and Neck Pain Experts in San Francisco, call 415-392-2225.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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The Neck and Shoulder Pain Relationship

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Neck and Shoulder Pain Connection

Given the close anatomical proximity between the neck and shoulder, it’s no wonder the two are intimately related. In our hectic lifestyles of driving, hunching over computers, talking on the phone, not to mention stress arising from multiple sources, the muscles in the neck, upper back and shoulders seem to tighten up and hurt at the same time. The question is, between the neck and the shoulder, which one is the “chicken” and which is the “egg?”

The neck gives rise to the nerves that innervate the head (C1-3 nerve roots), the shoulders (C4-5), and the arms (C5-T2). Hence, there are 8 sets of nerves in the neck, 12 sets in the thoracic (middle back region), and 6 sets in the lumbar or low back region and 5 sets in the sacrum, all of which travel to a specific destination allowing us to move our muscles and to feel hot, cold, sharp, dull, vibration and position sense. When these nerves get pinched or irritated, they lose their function and the ability to feel, making it challenging to button a shirt, thread a needle, or pick up small objects.  It can also make it difficult to unscrew jars, squeeze a spray bottle, or lift a milk container from the refrigerator. Hence, the nerves arising from the neck, when pinched, can have a dramatic effect on our ability to carry out our desired activities in which the shoulder, arm and hand use is required.

On the other hand, when the shoulder is injured (such as a rotator cuff tear), this can also result in neck problems. There are several ways pain from the neck affects the shoulder and vice versa. When the shoulder is injured, pain “information” is relayed to the brain starting at the nerve endings located in the area of the shoulder injury, transmitting impulses between the shoulder and the neck, and finally from the neck to the sensory cortex of the brain. That information is processed and communication to the motor cortex prompts nerve signals to be sent back to the shoulder through the neck and to the injured area (in this case, the shoulder). A reflex muscle spasm often occurs as a result, serving as kind of an “internal cast” as the muscle spasm tries to protect the injured shoulder. This can become a “vicious cycle” or never-ending “loop” until the reflex is interrupted (perhaps by a chiropractic adjustment). Another means by which both areas become injured has to do with modifications in function. We tend to change the way we go about our daily chores when an injury occurs to the shoulder, such as putting on a coat differently by leaning over to the opposite side. These functional changes can also give rise to neck pain. Because of this reflex cycle, as well as the close anatomic relationship between the neck and shoulder, not to mention the “domino effect” of soft-tissue injuries which seem to change the function at the next joint level, it’s not surprising that both the neck AND the shoulder require simultaneous treatment for optimal treatment benefit. However, the good news is, regardless which one is the “chicken or the egg,” chiropractic treatments of shoulder injuries will almost always include the neck and vice-versa.

            We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

 To schedule an appointment with one of our chiropractors in San Francisco call 415-392-2225. Mention this neck and shoulder pain article and receive a complimentary consultation.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Do Herniated Discs Regenerate?

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Cervical disc bulge on MRI

We have been providing treatment for herniated discs in San Francisco for over 20 years now. During this time we have helped thousands of cervical and lumbar herniated disc patients.

About 7 years ago we began to incorporate nonsurgical spinal decompression into our herniated disc protocols. The machines we use are the DRX9000 and DRX9000c.

Ever since I can remember there has been an ongoing debate in the medical community as to whether a herniated disc can repair itself or not.

In my opinion, the answer is YES.

Why do I say this? Because I have seen it first hand over and over again. I have seen before and after MRI’s of my very own herniated disc patients that have shown dramatic improvement in disc height and reduction of  disc herniation post decompression therapy.

Is there research on this? YES…but there are not full blown double blind studies…they are in the works.

In reality, this blog post is simply my opinion…but it’s the opinion of a herniated disc doctor that has over 20 years experience treating herniated discs in San Francisco. I have also delivered over 12,000 spinal decompression treatments to hundreds of patients.

Bottom Line: I recommend not listening to the naysayers. If you have been diagnosed with a herniated disc and have been told you need neck or back surgery…consider nonsurgical spinal decompression. It just might be the answer to your problem.

Nonsurgical spinal decompression is safe, gentle, and effective…and it is the only treatment I know of that can actually repair a herniated disc. But again…this is only my humble, biased opinion 🙂

To schedule a complimentary consultation with a spinal decompression doctor in San Francisco, call 415-392-2225 and mention this blog post.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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A Herniated Disc Often Times Leads to More Herniated Discs

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Cervical disc bulge on MRI

We have been providing treatment for herniated discs in San Francisco for almost 20 years now. Herniated discs in the lumbar spine are very common. Herniated discs in the cervical spine are less common. Herniated discs in the thoracic spine are rare.

Often times, at our San Francisco Spinal Decompression Center, a patient will present with herniated discs in both the cervical and lumbar spine. Usually one area is worse than the other, and we can guesstimate which area herniated first, and if the herniated disc in the neck influenced the herniated disc in the low back, or vice versa.

Most doctors will tell you that they are not connected…and maybe they aren’t.  But to me…how could they not be? After-all, the spine is made up of 24 movable segments called vertebrae. In between each vertebrae is the inter-vertebral disc. The disc is primarily cartilage tissue and is very dense, but at the same time flexible. There is a jelly like center that moves and gives according to our movements. When the bones of the spine are all in proper alignment the spine is strong and health and functions as intended.

If you injure a spinal disc say from a sports injury, auto accident, or years of poor posture from sitting at a computer, you can cause the jelly center to push out onto the nerves…this is called a disc herniation or disc bulge, depending on the nature of the disc damage.

Basic physics tells us if we alter structure, we alter function. If you put a ski rack on a Porsche it will not corner as well. If you have a disc in the low back that has herniated…it effects the other discs of the spine and makes them work harder because it changes the shape and strength of the disc and surrounding structures. The discs above and below the herniated disc segment are the most prone to future herniation from the extra stress put on them.

However, the discs in the neck also have to work harder because of the herniated disc in the low back. And if you are someone that is under a lot of constant physical and mental stress (to the neck)…say like a legal secretary…you may be prone to bulging or herniated discs in the cervical spine.

When it comes to herniated discs…they are not isolated occurrences…the entire spine is effected.

This is why we encourage disc herniation sufferers to seek nonsurgical treatment right away with nonsurgical spinal decompression. Because the last thing you want is more disc herniations or disc bulges. And whether you like it or not…and even if you medical doctor tells you it’s not likely…basic physics tells us it is.

What about back surgery? Well…if you cut that disc out your alter structure. Same with fusion surgery. Now you spend the remainder of your life with limited motion and abnormal stresses on the rest of the spine. This is why back surgery often fails and leads to more back surgery. You should avoid this at all costs.

Anyway, a controversial topic, but one we have a lot of first hand knowledge with.

To schedule an appointment with one of our San Francisco Spinal Decompression Doctors call 415-392-2225. Mention this blog post for a complimentary consultation.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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